Provider Demographics
NPI:1457562779
Name:RAGSDALE, JUDY LEE (RN)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:LEE
Last Name:RAGSDALE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3006 ANN TRESE CV
Mailing Address - Street 2:
Mailing Address - City:CRESTWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:40014-8725
Mailing Address - Country:US
Mailing Address - Phone:502-222-3132
Mailing Address - Fax:
Practice Address - Street 1:3006 ANN TRESE CV
Practice Address - Street 2:
Practice Address - City:CRESTWOOD
Practice Address - State:KY
Practice Address - Zip Code:40014-8725
Practice Address - Country:US
Practice Address - Phone:502-222-3132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator